Organization
ANSIBLE HEALTH MEDICAL GROUP OF KANSAS PA
Active
Organization
ANSIBLE HEALTH MEDICAL GROUP OF KANSAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICIELLE TIMTIMAN (CREDENTIALING LEAD)
(276) 208-7087
Entity
Organization
Contact information
Practice address
7300 WEST 110TH STREET COMMERCE PLAZA I, 7TH FLOOR, OVERLAND PARK, KS 66210
(877) 267-4253
Mailing address
1032 E BRANDON BLVD # 4253, BRANDON, FL 33511-5509
(877) 267-4253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
—
—
227800000X
Certified Respiratory Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/30/2024
Last updated
05/07/2025
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